{
"Npi": {
"NPI": "1912315797",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELIZABETH KAUFMAN THERAPY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "707 EGRET ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAYMORE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64083-9003",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-914-1340",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8014 STATE LINE RD",
"SecondLinePracticeLocationAddress": "SUITE 112",
"PracticeLocationAddressCityName": "PRAIRIE VILLAGE",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66208-3723",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-914-1340",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/24/2014",
"LastUpdateDate": "07/24/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAUFMAN",
"AuthorizedOfficialFirstName": "ELIZABETH",
"AuthorizedOfficialMiddleName": "NICOLE",
"AuthorizedOfficialTitle": "MARRIAGE AND FAMILY THERAPIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "TLMFT",
"AuthorizedOfficialTelephoneNumber": "816-914-1340",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "2575",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}